Individual
SCHANTATE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5950 RAVENTREE CT, COLLEGE PARK, GA 30349-1681
(404) 310-8449
Mailing address
2795 MAIN ST W STE 20B, SNELLVILLE, GA 30078-3073
(678) 344-7836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW003804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW003804
LMSW
GA
Enumeration date
02/23/2011
Last updated
01/11/2021
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